| NPI | 1699117119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TN 24736) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: VA 0001246344) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: SC 100969) | |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2018-09-18 |